Ramipril: Uses, Dosage, Side Effects & Warnings - Drugs.com Ramipril Generic Name: ramipril (RAM i pril) Brand Names: Altace What is ramipril? Ramipril (Altace) is an ACE inhibitor. ACE stands for angiotensin converting enzyme. Ramipril is used to treat high blood pressure (hypertension) or congestive heart failure, and to improve survival after a heart attack. Ramipril may also be used for purposes not listed in this medication guide. Important information Do not use ramipril if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. Slideshow If you have diabetes, do not use ramipril together with any medication that contains aliskiren (Amturnide, Tekturna, Tekamlo, Valturna). Before taking this medicine You should not use this medicine if you are allergic to ramipril or to any other ACE inhibitor, such as benazepril, captopril, fosinopril, enalapril, lisinopril, moexipril, perindopril, quinapril, or trandolapril.

If you have diabetes, do not use ramipril together with any medication that contains aliskiren (Amturnide, Tekturna, Tekamlo, Valturna). You may also need to avoid taking ramipril with aliskiren if you have kidney disease. To make sure ramipril is safe for you, tell your doctor if you have: kidney disease (or if you are on dialysis); liver disease; diabetes; a connective tissue disease such as Marfan syndrome, Sjogren's syndrome, lupus, scleroderma, or rheumatoid arthritis; or if you are also taking telmisartan (Micardis). Do not use if you are pregnant. If you become pregnant, stop taking this medicine and tell your doctor right away. Ramipril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Use effective birth control. It is not known whether ramipril passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine. How should I take ramipril? Take ramipril exactly as prescribed by your doctor. Follow all directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results. Do not take this medicine in larger or smaller amounts or for longer than recommended. Ramipril can be taken with or without food. Swallow the tablet whole. You may open the capsule and sprinkle the medicine into a half-cup (4 ounces) of water, apple juice, or applesauce to make swallowing easier. Swallow without chewing. You may store the mixture for up to 24 hours at room temperature, or up to 48 hours in a refrigerator. Vomiting, diarrhea, or heavy sweating can cause you to become dehydrated. This can lead to very low blood pressure, electrolyte disorders, or kidney failure while you are taking ramipril. Drink plenty of water each day while you are taking this medication. Your blood pressure will need to be checked often, and you may need frequent blood tests to check your potassium levels. If you need surgery, tell the surgeon ahead of time that you are using ramipril. You may need to stop using the medicine for a short time. If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms.

You may need to use blood pressure medication for the rest of your life. Store at room temperature away from moisture, heat, and light. Keep the bottle tightly closed when not in use. What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. What should I avoid? Do not use salt substitutes or potassium supplements while taking ramipril, unless your doctor has told you to. Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of ramipril. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall. Ramipril side effects Get emergency medical help if you have any signs of an allergic reaction to ramipril: hives; severe stomach pain; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have: a light-headed feeling, like you might pass out; chest pain; little or no urination, or urinating more than usual; sudden weakness or ill feeling, fever, chills, sore throat, painful mouth sores, pain when swallowing, skin sores, cold or flu symptoms; or high potassium - nausea, slow or unusual heart rate, weakness, loss of movement. Common ramipril side effects may include: headache; cough; or dizziness, weakness, tired feeling. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Ramipril dosing information Usual Adult Dose for Diabetic Nephropathy: Initial dose: 2.5 mg orally once a day for patients not receiving a diuretic Maintenance dose: 2.5 to 20 mg/day orally in 1 to 2 divided doses Usual Adult Dose for Hypertension: Initial dose: 2.5 mg orally once a day for patients not receiving a diuretic Maintenance dose: 2.5 to 20 mg/day orally in 1 to 2 divided doses Usual Adult Dose for Congestive Heart Failure: Initial dose: 2.5 mg orally twice a day Maintenance dose: 5 mg orally twice a day Usual Adult Dose for Left Ventricular Dysfunction: Initial dose: 2.5 mg orally twice a day Maintenance dose: 5 mg orally twice a day Usual Adult Dose for Myocardial Infarction: Initial dose: 2.5 mg orally twice a day Maintenance dose: 5 mg orally twice a day What other drugs will affect ramipril? Other drugs may interact with ramipril, including prescription and over-the-counter medicines, vitamins, and herbal products.

Tell each of your health care providers about all medicines you use now and any medicine you start or stop using. Where can I get more information? Your pharmacist can provide more information about ramipril. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use ramipril only for the indication prescribed. Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Copyright 1996-2017 Cerner Multum, Inc. Version: 14.01. Revision Date: 2015-02-11, 2:44:57 PM. Drug Status Buy Enapril 2.5mg Online - Enalapril Enapril 2.5mg What is Enalapril? Enalapril is an ACE (angiotensin converting enzyme) inhibitor drug. It is prescribed primarily for the treatment of hypertension (high blood pressure), congestive heart failure, and to improve the chances of survival after a heart attack.

Enalapril is also prescribed for the treatment of a disorder of the ventricles (the lower chambers of the heart that allow blood to flow out of the heart). This disorder can decrease the heart’s ability to pump blood out into the body. This medicine may also be given for conditions not mentioned here. Enalapril is sold under the trade names Vasotec and Enapril (Intas Pharma) among several other brands across the world. Important Information about Enalapril Do not take Enalapril (Vasotec, Enapril) if you are allergic to it, if you have ever had angioedema, or if you had an allergy to any other ACE inhibitor such as ramipril, captopril, fosinopril, benazepril, moexipril, and others. To make sure that this medicine is safe for you, inform your doctor in advance if you have any of these conditions: congestive heart failure, kidney disease (or if you are on dialysis), liver disease, diabetes, or a history of blood clot or stroke.

If you have diabetes or kidney disease, you may not be able to take this medicine if you are also taking a blood pressure medicine that has aliskiren. Excessive sweating, diarrhea, or vomiting may cause loss of too much body water and increase the risk of dehydration and electrolyte imbalance while taking Enalapril. Notify your doctor if you have persistent diarrhea or vomiting while taking this medicine. Ensure that you consume plenty of fluids. Enalapril can cause kidney problems. Notify your doctor right away if you have swelling, rapid weight gain, little or no urinating, or breathlessness. Enalapril is a pregnancy category D drug. Do not take if you are a pregnant woman. If you become pregnant during the treatment with this medicine, stop taking it and contact your doctor immediately. Enalapril can cause injury or death of an unborn baby if pregnant women take it in second or third trimester. Use of effective birth control is recommended while taking this medicine. Enalapril can pass into breast milk and harm a nursing baby. Do not take this medicine without your doctor’s advice if you are breast feeding. If you are being treated for high blood pressure, continue taking Enalapril even if you don’t have any symptoms.

High blood pressure doesn’t have any outwardly signs. You may have to take this medicine for a period of many years. Before taking Enalapril Before taking Enalapril (Vasotec, Enapril), take care of all precautions mentioned above. Discuss them with your doctor and clear all doubts which you may have about this drug. How should I take Enalapril? Take Enalapril strictly according to your doctor’s direction or according to the instructions on the medication label. Do not alter the dosage unless your doctor advises you to do so. Also, do not take this medication after the prescribed period is over. All medications come with a patient leaflet. Refer the instructions in them for detailed information on that particular medication. Enalapril can be taken with or without food. Always store this medicine in a cool and dry place. What if I miss a dose? If you miss a dose of Enalapril, take it as soon as you remember. Don’t take the missed dose if the time to take the next dose is almost up. Taking multiple doses near to each other can lead to excess medication in your body which can be harmful. What if I overdose?

In case of an overdose of Enalapril, get emergency medical attention or call the Doctor Immediately. Overdose may lead to severe dizziness, light headedness, or fainting. Things and Activities to avoid while taking Enalapril Avoid alcohol as consuming alcohol further lowers blood pressure. Also avoid activities which require a high level of mental awareness and reflexes (such as driving). Enalapril may increase your potassium levels. Hence, avoid potassium supplements or salt substitutes that contain potassium while taking this medicine. Enalapril Side Effects Some common side effects of Enalapril are dizziness, light headedness, fatigue, or headache. If any of these effects persist or deteriorate, get medical attention right away. A serious side effect is unlikely. However, if you get any serious side effect due to elevated potassium levels (fast, irregular or rapid heartbeat, muscle weakness), fainting, decreased or no urination, or any other serious side effect, seek medical attention immediately. The side effects mentioned above are not the only ones that you may experience due to Enalapril. If you get any serious side effects due to this medication, contact your doctor right away.

Enalapril Dosing Information Enalapril dosage may depend on a range of factors like age, sex, drug allergies, or seriousness of the condition among several other factors. Your dosage will be determined by your doctor after examining you properly. Remember to follow your doctor’s advice properly for best results. Interaction with other drugs Many other drugs can interact with Enalapril. Let your doctor know in advance if you use any other drugs or related products (OTC vitamin pills or other medicines, or herbal products), especially gold injections for arthritis, any other blood pressure medicine, lithium, NSAIDs (ibuprofen, naproxen, or others), a potassium supplement such as K-Dur, Klor-Con, salt substitutes that contain potassium, or a diuretic. These are not the only drugs that can interact with Enalapril. There may be others. Never start a new medication without proper medical advice. Reviews Ramipril (By mouth) - National Library of Medicine - PubMed Health Ramipril (By mouth) RA-mi-pril Treats high blood pressure and heart failure . May reduce the risk of heart attack , stroke , and death. This medicine is an ACE inhibitor .

Drug classes Antihypertensive, Cardiovascular Agent, Renal Protective Agent ( About this - PubMed Health ) Uses Uses of This Medicine Ramipril is used alone or together with other medicines to treat high blood pressure ( hypertension ). High blood pressure adds to the workload of the heart and arteries . If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain , heart, and kidneys , resulting in a stroke , heart failure , or kidney failure . Lowering blood pressure can reduce the risk of strokes and heart attacks. Ramipril is an angiotensin -converting enzyme (ACE) inhibitor . It works by blocking a substance in the body that causes blood vessels to tighten. As a result, ramipril relaxes the blood vessels. This lowers blood pressure and increases the supply of blood and oxygen to the heart . Ramipril is also used in some patients after a heart attack . After a heart attack, some of the heart muscle is damaged and weakened. The heart muscle may continue to weaken as time goes by. This makes it more difficult for the heart to pump blood . Ramipril may be started within the first few days after a heart attack to increase survival rate.

Ramipril is also used to lessen the chance of heart attacks or strokes in patients 55 years of age or older and have serious heart disease. This medicine is available only with your doctor's prescription. How To Use Capsule, Tablet Take your medicine as directed. Your dose may need to be changed several times to find what works best for you. Capsule or tablet: Swallow the capsule or tablet whole. If you cannot swallow the capsule, you may open it and mix the medicine with 4 ounces (½ cup) of applesauce, water, or apple juice. Eat or drink this mixture all at once so you get all of the medicine. You may also store the mixture for 24 hours at room temperature or up to 48 hours in the refrigerator. Missed dose:Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Drugs and Foods to Avoid Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins , and herbal products.

Do not use this medicine together with aliskiren if you have diabetes . Some medicines can affect how ramipril works. Tell your doctor if you are using any of the following: Kidney problems This medicine could lower your blood pressure too much, especially when you first use it or if you are dehydrated. Stand or sit up slowly if you feel lightheaded or dizzy. Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests. Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments. Keep all medicine out of the reach of children. Never share your medicine with anyone. Possible side effects Summary More details Call your doctor right away if you notice any of these side effects: Allergic reaction: Itching or hives , swelling in your face or hands , swelling or tingling in your mouth or throat , chest tightness, trouble breathing ramipril oral : Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD 158 Uses Ramipril is used to treat high blood pressure ( hypertension ).

Lowering high blood pressure helps prevent strokes, heart attacks , and kidney problems. Ramipril is also used to improve survival after a heart attack . It may also be used in high risk patients (such as patients with heart disease / diabetes ) to help prevent heart attacks and strokes. This medication may also be used to treat heart failure in patients who have had a recent heart attack . Ramipril is an ACE inhibitor and works by relaxing blood vessels so that blood can flow more easily. OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional. This medication may also be used to help protect the kidneys from harm due to diabetes . How to use ramipril Take this medication by mouth with or without food as directed by your doctor, usually once or twice daily. If you are taking the capsule form of ramipril, swallow it whole.

If you have difficulty swallowing the capsule, the capsule may be opened and the contents sprinkled onto cool applesauce (about 4 ounces) or mixed in half a glass of water or apple juice (4 ounces/120 milliliters). Swallow or drink the whole mixture. The dosage is based on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Use this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time(s) each day. It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick. For the treatment of high blood pressure, it may take several weeks before you get the full benefit of this medication. Tell your doctor if your condition does not improve or if it worsens (such as your blood pressure readings remain high or increase). What conditions does ramipril treat? Side Effects Dizziness , lightheadedness, or tiredness may occur as your body adjusts to the medication. Dry cough may also occur.

If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if any of these unlikely but serious side effects occur: fainting , symptoms of a high potassium blood level (such as muscle weakness , slow/ irregular heartbeat ). Although ramipril may be used to prevent kidney problems or treat people who have kidney problems, it may also rarely cause serious kidney problems or make them worse. Your doctor will check your kidney function while you are taking ramipril. Tell your doctor right away if you have any signs of kidney problems such as a change in the amount of urine. This drug may rarely cause serious (possibly fatal) liver problems. Tell your doctor right away if you notice any of the following rare but serious side effects: yellowing eyes / skin , dark urine, severe stomach / abdominal pain , persistent nausea / vomiting . A very serious allergic reaction to this drug is rare.

However, get medical help right away if you notice any symptoms of a serious allergic reaction , including: rash , itching /swelling (especially of the face/ tongue /throat), severe dizziness, trouble breathing . This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. List ramipril side effects by likelihood and severity. Precautions Before taking ramipril, tell your doctor or pharmacist if you are allergic to it; or to other ACE inhibitors (such as benazepril ); or if you have any other allergies . This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: history of an allergic reaction which included swelling of the face/lips/ tongue /throat (angioedema), blood filtering procedures (such as LDL apheresis, dialysis ), high level of potassium in the blood. This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Too much sweating, diarrhea, or vomiting may cause loss of too much body water (dehydration) and increase your risk of lightheadedness. Report prolonged diarrhea or vomiting to your doctor. Be sure to drink enough fluids to prevent dehydration unless your doctor directs you otherwise. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). This product may increase your potassium levels. Before using potassium supplements or salt substitutes that contain potassium, consult your doctor or pharmacist.

Older adults may be more sensitive to the side effects of this drug, including dizziness and increases in potassium level. This medication is not recommended for use during pregnancy. It may harm an unborn baby. Consult your doctor for more details. (See also Warning section.) It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding. Interactions See also Precautions section. Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug include: aliskiren, certain drugs that weaken the immune system/increase the risk of infection (such as everolimus, sirolimus), lithium, drugs that may increase the level of potassium in the blood (such as ARBs including losartan/valsartan, birth control pills containing drospirenone), sacubitril, telmisartan.

Check the labels on all your medicines (such as cough-and-cold products, diet aids, or NSAIDs such as ibuprofen, naproxen) because they may contain ingredients that could increase your blood pressure or worsen your heart failure. Ask your pharmacist for more details. A very serious reaction may occur if you are getting injections for bee/wasp sting allergy (desensitization) and are also taking ramipril. Make sure all your doctors know which medicines you are using. Does ramipril interact with other medications? Overdose If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe dizziness, fainting. Notes Do not share this medication with others. Lifestyle changes such as stress reduction programs, exercise and dietary changes may increase the effectiveness of this medicine. Talk to your doctor or pharmacist about lifestyle changes that might benefit you.

Laboratory and/or medical tests (such as kidney function, potassium levels) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details. Check your blood pressure regularly while taking this medication. Learn how to monitor your own blood pressure at home, and share the results with your doctor. Missed Dose If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up. Storage Store at room temperature away from light and moisture. If you are taking the capsule form of ramipril and have opened the capsule and mixed the contents with food or liquid, then the mixture can be kept at room temperature for up to 24 hours or refrigerated for up to 48 hours. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Information last revised July 2016. Copyright(c) 2016 First Databank, Inc. Images Sorry. No images are available for this medication. Add to Cabinet Add Adderall to my medicine cabinet. I am ramipril, Altace: Drug Facts, Side Effects and Dosing Pharmacy Author: Omudhome Ogbru, PharmD Omudhome Ogbru, PharmD Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99. Medical and Pharmacy Editor: Jay W. Marks, MD Jay W. Marks, MD Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

GENERIC NAME: ramipril BRAND NAME: Altace DRUG CLASS AND MECHANISM: Ramipril belongs to a class of drugs called angiotensin converting enzyme (ACE) inhibitors that are used for treating high blood pressure , heart failure and for preventing kidney failure due to high blood pressure and diabetes . Other ACE inhibitors include enalapril ( Vasotec ), quinapril ( Accupril ), captopril ( Capoten ), fosinopril ( Monopril ), benazepril ( Lotensin ), lisinopril ( Zestril , Prinivil ), moexipril ( Univasc ) and trandolapril ( Mavik ). ACE is important because it is an enzyme responsible for producing the chemical, angiotensin II. Angiotensin II causes muscles in most arteries, including the arteries of the heart, to contract, thereby narrowing the arteries and elevating blood pressure . ACE inhibitors such as ramipril lower blood pressure by reducing the production of angiotensin II, thereby relaxing arterial muscle and enlarging arteries. When the blood pressure is lower, the heart--including the failing heart--does not have to work as hard to pump blood.

The arteries supplying the heart with blood also enlarge during treatment with ACE inhibitors. This increases the flow of blood and oxygen to the heart, further improving the ability of the heart to pump blood. Enalapril - an ACE inhibitor - Innovace. Hypertension medication | Patient InnovaceÂ®; InnozideÂ® (contains enalapril with hydrochlorothiazide) Available as Tablets Enalapril belongs to a class of medicines called angiotensin-converting enzyme (ACE) inhibitors . You may have been prescribed it to reduce high blood pressure ( hypertension) , or to prevent (or treat) heart failure . Heart failure is a condition where your heart does not work as well as it should. ACE inhibitors like enalapril prevent your body from creating a hormone known as angiotensin II. They do this by blocking (inhibiting) a chemical called angiotensin-converting enzyme. This widens your blood vessels and helps to reduce the amount of water put back into your blood by your kidneys. These actions help to decrease blood pressure.

Although people with high blood pressure often do not feel unwell, if left untreated, high blood pressure can harm the heart and damage blood vessels, leading to a heart attack or stroke. Enalapril can be used on its own or alongside other medicines which reduce blood pressure. A combination brand called InnozideÂ® (which contains enalapril with another medicine called hydrochlorothiazide) can help to reduce the total number of tablets people with high blood pressure need to take each day. In heart failure, there can be too much circulating fluid in your blood vessels because your heart is not working as efficiently as it once did. Enalapril helps to reduce this. It also appears to have a protective effect on the heart and slows the progression of the heart failure. Before taking enalapril Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking enalapril it is important that your doctor knows: If you are pregnant or breast-feeding. If you have any problems with the way your kidneys work, or any problems with the way your liver works.

If you are lacking in fluid in the body (dehydrated) - for example, if you have had diarrhoea or sickness very recently. If you have been told you have a build-up of fatty deposits on the walls of your arteries, a condition called atherosclerosis. If you have a particular type of poor circulation called peripheral arterial disease. If you have collagen vascular disease - this includes conditions such as systemic lupus erythematosus (SLE) and scleroderma. If you have been told you have heart muscle disease (cardiomyopathy), or narrowing of the main blood vessel from your heart (aortic stenosis). If you have ever had a reaction where your face, tongue or throat swells (angio-oedema). If you are having desensitisation treatment to protect against bee and wasp stings. If you are having dialysis treatment, or treatment to remove cholesterol from your blood by a machine (LDL apheresis). If you are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.

If you have ever had an allergic or unusual reaction to any other ACE inhibitor (such as captopril, ramipril or perindopril), or to any other medicine. How to take enalapril Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about enalapril and will provide you with a full list of side-effects which you could experience from taking it. Take the tablets exactly as your doctor tells you to. If you are being treated for high blood pressure: enalapril is taken once a day. You will be advised to take your very first dose at bedtime. This is because you can feel quite dizzy when you first start taking it. After the first dose, you can generally take enalapril at a time of day you find easy to remember. For most people this will be in the morning. If you are being treated for heart failure: your doctor will give you a small once-daily dose to begin with, and then your dose will be increased gradually over a few weeks. Once the dose has been increased, enalapril is commonly taken as two doses a day, one taken in the morning and the other in the evening.

Increasing your dose slowly like this helps to avoid unwanted side-effects, such as dizziness. Try to take your doses at the same time(s) of day each day as this will help you to remember to take your doses regularly. You can take enalapril tablets either with or without food. It is best to swallow the tablet with a drink of water. There are several strengths of enalapril tablet. Your doctor will prescribe the strength which is suitable for your condition. Each time you collect a new supply, check to make sure the tablets are the strength that you are expecting. If you forget to take a dose at your usual time, take it as soon as you remember (unless it is nearly time for your next dose, in which case do not take the forgotten dose but take the next dose when it is due). Do not take two doses together to make up for a missed dose. Getting the most from your treatment Try to keep your regular appointments with your doctor. This is so your progress can be monitored. Your doctor will want you to have some blood tests from time to time to check that your kidneys are working well. It is very important that you follow any dietary and lifestyle advice that you have been given by your doctor.

This can include advice about eating a healthy diet, not smoking, and taking regular exercise. If you buy any medicines, check with a pharmacist that they are suitable to take with enalapril. This is because some medicines (such as anti-inflammatory painkillers and indigestion remedies) can interfere with your treatment. It is likely that your doctor will advise that you do not use salt substitutes while you are taking enalapril. These products have a high content of potassium which could be harmful for you. If you drink alcohol, ask your doctor for advice about drinking alcohol while you are on enalapril. Alcoholic drinks can make you feel light-headed or dizzy, and they may not be advisable for you. If you have diabetes you may need to check your blood glucose more frequently, as the tablets can lower the levels of sugar in your blood. Your doctor will advise you about this. If you are having an operation or dental treatment, tell the person carrying out the treatment that you are taking enalapril. This is because some anaesthetics could cause your blood pressure to drop too low. Treatment with enalapril is often long-term unless you experience an adverse effect. Continue to take the tablets unless you are advised otherwise.

Can enalapril cause problems? Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the more common ones associated with enalapril. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome. Very common enalapril side-effects (these affect more than 1 in 10 people) What can I do if I experience this? Dry irritating cough Stick to simple foods - avoid fatty or spicy meals Low mood, feeling short of breath, taste disturbances, feeling faint, skin rash If any of these become troublesome, speak with your doctor Changes to the results of some blood tests Your doctor will check for this Important: if you experience any of the following potentially serious symptoms, stop taking enalapril and contact your doctor for advice straightaway: Any difficulty breathing, or swelling of your face, mouth, tongue or throat. These are signs of an allergic reaction.

Any yellowing of your skin or the whites of your eyes. These may be signs of a liver problem called jaundice, which is a rare side-effect. A severe skin rash. If you experience any other symptoms which you think may be due to the tablets, speak with your doctor or pharmacist for further advice. How to store enalapril Keep all medicines out of the reach and sight of children. Store in a cool, dry place, away from direct heat and light. Important information about all medicines Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty. This medicine is for you. Never give it to other people even if their condition appears to be the same as yours. Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you. If you have any questions about this medicine ask your pharmacist.

ramipril and enalapril - MedHelp Ramipril and enalapril Common Questions and Answers about Ramipril and enalapril altace You need to ensure that you’re taking one of the ace inhibitors like ramipril / enalapril which help in improving the EF and ensure that further worsening doesn’t take place. I sincerely hope that helps. Take care. Read More This can be done with the use of diuretics which clear the extra fluid in the body through urine, ACE inhibitors like ramipril / enalapril which ensure a decreased constriction of the blood vessels and thus a reduced workload on the heart, digoxin which helps in improving the contractility of the heart, anti-hypertensives t ensure the blood pressure is under control (if you’re hypertensive also). Mild exercises like walking also tends to improve the heart functions. I sincerely hope that helps. Read More The other drug which helps in BP due to CKD is ACE inhibitor like lisnopril, captopril, enalapril , and ramipril . So, please ask your doctor if you can be put on these. Other than that proper management of CKD also helps reduce the BP. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Read More The doctor has rightly prescribed you a low dose antihypertensive as that is thought to play a role in improving the blood supply in the smaller vessels of the heart. Thus, enalapril / ramipril have cardioprotective properties and thus are useful. I sincerely hope that helps. Take care. Read More There is some evidence that calcium channel blocker drugs may be of benefit in reducing ventricular stiffness in some cases. Likewise, treatment with ACE inhibitor such as enalapril , ramipril , and many others, may be of benefit due to their effect on an increase of ventricular size (remodeling).

Read More Candesartan - Atacand Irbesartan - Avapro Losartan - Cozaar Telmisartan - Micardis Valsartan - Diovan Other, Less Commonly Used Hypertension Drugs Clonidine - Catapres Doxazosin - Cardura Guanabenz - Wytensin Guanfacine - Tenex Hydralazine hydrochloride - Apresoline Methyldopa - Aldomet Prazosin - Minipress Reserpine - Serpasil Terazosin - Hytrin Combination Drugs For Hypertension Amiloride and hydrochlorothiazide - Moduretic Read More Then then started her on lovonox 30, carvedilol and ramipril . We didn't see another doctor until Monday before her test at 8am then she returned to her room at 11:30. At 2:30/3pm we got a call from her pcp stating she needed to be taken via EMS to another hospital with a nationally ranked cardio unit for a catherization.

After many bouts with a nurse giving us the wrong times and many other problems with that nurse, she was taken up yesterday at 7:30am with the procedure at 10am. Read More ACE inhibitors include captopril (Capoten), enalapril (Vasotec), quinapril (Accupril), benazepril (Lotensin), ramipril (Altace), perindopril (Aceon), and lisinopril (Prinivil, Zestril). CHF = Congestive Heart Failure, or Chronic Heart Failure. Two different meanings sometimes with the same outcome. Congestive heart failure occurs when one has pulmonary hypertension. Read More I've been on 5mg Enalapril for three days plus taking a healthy mix of garlic, fish oil and multivitamins. I cut out caffeine and incorporated some mild exercise like walking on a track for an hour. I'm not overweight by much, maybe I could stand to lose ten to fifteen pounds. I'm only 31 so that makes me wonder if my BP could be anxiety related. Now here's the thing that's puzzling me.

I checked my BP this morning and it was at 134/93. Read More angiotensin-converting enzyme (ACE) inhibitors such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), and trandolapril (Mavik);angiotensin II receptor antagonists such as candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro), losartan (Cozaar), olmesartan (Benicar), telmisartan (Micardis), and valsartan (Diovan); antacids such as Read More Thanks for your post and encouragrment. I take the 100mg metoprolol 2 times a day along with clonidine & enalapril.

I am going to ask my MD about a diuretic and MRI as info from kenkeith advised. I am really glad your pressure was down at your last visit. Do you take Plavix? Read More Amber is currently taking coreg (carvedilol), vasotec ( enalapril ) which is an ACE inhibitor and inpra (eplerenone) which is taken by patients with low ef's these medications she takes for dilated cardiomyopathy she has recently begun digoxin, and this has improved her ef, and has improved overall heart function working in conjunction with the other meds she is currently at the max dosage of coreg, and with the exception of occasional low bp she has tolerated it very well (though i will Read More I am on Atenolol... and a healthy dose...50 mg in the morning..and 50 mg at night. I have read posts here where people really have trouble with it, but I just love it. It keeps my heartrate down---and (most...well...some..) of the time it helps with the palpitations. I had some dizziness when I first started taking it, but thats it. Not one other side effect.

I was also on Lipitor a year ago...It really worked, and I had zero side effects from that. Hope this helps! Read More At the end of tx 1 year ago my BP was back up to 160/90 with a rapid heart rate. I was given enalapril 5 mg and Metaprolol 50 mg whiuch brought it down to 130/80. I stayed like this until about 3 months ago when I noticed that my blood pressure was lower than normal about 109/57. So I started tapering off my blood pressure meds. I did it slowly and have been off the meds completely for about 2 months now. My BP averages about 135/75 now. I can live with pre hypertention. hydrochlorothiazide and enalapril (Vaseretic 10-25, Vaseretic 5-12.5) Causes, Symptoms, Treatment - What should I discuss with my healthcare provider before taking hydrochlorothiazide and enalapril (Vaseretic 10-25, Vaseretic 5-12.5)?

- eMedicineHealth What should I discuss with my healthcare provider before taking hydrochlorothiazide and enalapril (Vaseretic 10-25, Vaseretic 5-12.5)? How should I take hydrochlorothiazide and enalapril (Vaseretic 10-25, Vaseretic 5-12.5)? Where can I get more information? What should I discuss with my healthcare provider before taking hydrochlorothiazide and enalapril (Vaseretic 10-25, Vaseretic 5-12.5)? You should not use this medication if you are allergic to hydrochlorothiazide or enalapril, or if you are unable to urinate.

You should not use this medication if you are allergic to any other ACE inhibitor, such as benazepril (Lotensin), captopril (Capoten), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), or trandolapril (Mavik). To make sure you can safely take hydrochlorothiazide and enalapril, tell your doctor if you have any of these other conditions: kidney disease (or if you are on dialysis); liver disease; diabetes; or an allergy to sulfa drugs or penicillin. FDA pregnancy category D. Do not use hydrochlorothiazide and enalapril if you are pregnant. Stop using this medication and tell your doctor right away if you become pregnant. Hydrochlorothiazide and enalapril can cause injury or death to the unborn baby if you take the medicine during your second or third trimester. Use effective birth control while taking this medication. Hydrochlorothiazide can pass into breast milk and may harm a nursing baby.

Do not use this medication without telling your doctor if you are breast-feeding a baby. How should I take hydrochlorothiazide and enalapril (Vaseretic 10-25, Vaseretic 5-12.5)? Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Your doctor may occasionally change your dose to make sure you get the best results. Take each dose with a full glass of water. Conditions that may cause very low blood pressure include: vomiting, diarrhea, heavy sweating, heart disease, dialysis, a low-salt diet, or taking diuretics (water pills). Follow your doctor's instructions about the type and amount of liquids you should drink while taking hydrochlorothiazide and enalapril. Tell your doctor if you have a prolonged illness that causes diarrhea or vomiting. Your blood pressure will need to be checked often. Your blood and urine may also be tested if you have been vomiting or are dehydrated. Visit your doctor regularly. If you need surgery or medical tests, tell the doctor ahead of time that you are taking medication that contains hydrochlorothiazide.

You may need to stop using the medicine for a short time. Keep using this medicine as directed, even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life. Store at room temperature away from heat and moisture. Next Page: Enalapril | Side Effects, Dosage, Uses & More Dry cough See Details FDA warning This drug has a Black Box Warning. This is the most serious warning from the Food and Drug Administration (FDA). A black box warning alerts doctors and patients to effects that may be dangerous. Use during pregnancy warning. You shouldn’t take this drug if you’re pregnant or plan to become pregnant. Enalapril can harm or be fatal to your unborn child. You should stop taking this drug right away if you get pregnant. Swelling Enalapril can cause sudden swelling of your face, arms, legs, lips, tongue, throat, and intestines (angioedema). This is serious and can sometimes be fatal. Tell your doctor right away if you have swelling or stomach pain. Your doctor will have you stop taking this drug, and you may be given medication to reduce the swelling.

Your risk of swelling may be higher if you’ve had this problem before while taking a drug similar to enalapril (angiotensin-converting enzyme or ACE inhibitor). Low blood pressure Enalapril can cause low blood pressure. Tell your doctor if you feel lightheaded or have any fainting spells. You may have a higher risk of low blood pressure if you: aren’t drinking enough fluids sweat heavily sirolimus everolimus Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. Enalapril warnings People with swelling (angioedema) If you have swelling throughout your body, this drug can make it worse. If you have a history of swelling throughout your body, you shouldn’t take enalapril. People with low blood pressure Enalapril can make your blood pressure lower. Tell your doctor if you already have low blood pressure.

They may change your dose, especially if you have heart or kidney problems, or diabetes. People with heart problems Use this drug with caution if you have ischemic heart disease. Enalapril may increase your risk of low blood pressure. People who plan to have surgery/anesthesia You may experience low blood pressure while having major surgery or during anesthesia. Pregnant women Enalapril is a category D pregnancy drug. That means two things: Research in humans has shown adverse effects to the fetus when the mother takes the drug. This drug should only be used during pregnancy in serious cases where it's needed to treat a dangerous condition in the mother. Talk to your doctor if you’re pregnant or planning to become pregnant. Ask your doctor to tell you about the specific harm that may be done to the fetus. This drug should only be used if the potential risk to the fetus is acceptable given the drug’s potential benefit. Women who are breast-feeding Enalapril may pass into breast milk and may cause side effects in a child who is breast-fed. Talk to your doctor if you breast-feed your baby. You may need to decide whether to stop breast-feeding or stop taking this medication. For seniors Older adults may process drugs more slowly.

A normal adult dose may cause levels of this drug to be higher than normal in your body. If you’re a senior, you may need a lower dose or a different schedule. For children For high blood pressure: Enalapril shouldn’t be used in infants and children with severe kidney disease. For heart failure: The use of this medicine to treat heart failure hasn’t been studied in children and shouldn’t be used in people younger than 18 years. For asymptomatic left ventricular dysfunction: The use of this medicine to treat asymptomatic left ventricular dysfunction hasn’t been studied in children and shouldn’t be used in people younger than 18 years. Allergies Enalapril can cause a severe allergic reaction. Symptoms include: trouble breathing

Question: Which medical condition would be treated with drugs such as ramiprii and enalapril?
Answer: Hypertension